Provider Demographics
NPI:1790366094
Name:A AND E HOSPICE CARE
Entity Type:Organization
Organization Name:A AND E HOSPICE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ELEONORA
Authorized Official - Middle Name:
Authorized Official - Last Name:SARGISIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-577-4455
Mailing Address - Street 1:5250 LANKERSHIM BLVD STE 505
Mailing Address - Street 2:
Mailing Address - City:N HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91601-3186
Mailing Address - Country:US
Mailing Address - Phone:323-577-4455
Mailing Address - Fax:
Practice Address - Street 1:5250 LANKERSHIM BLVD STE 505
Practice Address - Street 2:
Practice Address - City:N HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91601-3186
Practice Address - Country:US
Practice Address - Phone:323-577-4455
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-19
Last Update Date:2021-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based